internet addiction, psychopathology of internet addiction, pseudo/genuine internet addiction, resiliency on internet addiction despite exposure

1. TEMPORAL PRESENTATION OF
SYMPTOMS
OF INTERNET ADDICTION
AMONG FILIPINO ADOLESCENTS
USING THE ISIA IAT SCALE
(presented at the 2nd annual convention of International Society of Internet Addiction at
Seoul, South Korea held October 18, 2013)
MILEN SANTIAGO RAMOS MA, MSC, PHD
PHILIPPINES

3. The purpose of the study is to
develop stages of symptoms of
internet addiction as a
reflection of development of
pathology thereby aiding its
recognition as a disorder.

4. Time related questionaires were taken from
the assessment tool develop by International
Society of Internet Addiction (ISIA) with
reference to time.
Portion of the questionnaire is focused on
the symptom that develop after exposure of
one (1) week
(taken from PART 5 consisting of 20 items),
two (2) weeks
(taken from PART 7 consisting of 13 items )
three (3) months
(taken from PART 4 consisting of 26 items) of the original ISIA
internet addiction questionnaire

5. Internet addiction disorder (IAD)
is excessive computer use that
interferes with daily life. As
defined by wikipedia.

6. IAD was originally proposed as a disorder in
a satirical hoax by Ivan Goldberg, M.D., in 1995 He
took pathological gambling as diagnosed by
the Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV) as his model for the
description of IAD.
It is listed as a "condition for further study" in
DSM-5 from 2013 (this year), but not recognized as
a disorder.

7. CULLING OF DATA
Responses of one thousand adolescents were used to determine which among the
items in the time referenced questionaires will give statistically significant results
One thousand (1000) answered questionaires was gathered by 10 students. Each
handling 100 cases
It is anticipated that not all 26 items from PART 4, not all 13 items from PART 7, and
not all 20 items from PART 5 will give statistically significant result. It is expected to
give out the best items /behavior that will characterize one week use, 2 weeks use as
well as 3 months use of internet exposure.

8. ISIA QUESTIONAIRES USED

12. INSTRUCTIONS USED

13. PART 5
Below is a list of some of the ways you may have felt or
behaved. Please indicate how often you‘ve felt this way during
the PAST WEEK.
Please CIRCLE one option for each question only.
**DURING THE PAST WEEK
Rarely or none of the time
(less than 1 day)
1
Some or a little of the time
(1-2 days)
2
Occasionally or a moderate
amount of time
(3-4 days)
3
All of the time
(5-7 days)
4

14. PART 7
Please answer questions with LAST TWO WEEKS in
mind. Try to be honest and rate the most severe
difficulty mentioned in a question.
Please CIRCLE one option for each question only.
DURING THE LAST TWO WEEKS
Not at all
1
Insignificantly
2
Mild but
Definitely
3
Moderately
4
Severely
5

15. PART 4
Focusing on the LAST 3 MONTHS, please rate the
degree to which each of the following statement
matches your
experience.
Please CIRCLE one option for each question only.
**DURING THE LAST 3 MONTHS
Does not match my
experience at all
1
Probably does not
match my experience
2
Probably matches
my experience
3
Definitely matches
my experience
4

16. SIGNIFICANT
FINDINGS

17. ONE WEEK EXPOSURE
2.479
3.132 ITEM 2
2.611
2.549
2.718
2.799
2.919 ITEM 7
2.385
2.301
2.466
2. I did not feel like eating; my appetite was
poor.
7. I felt that everything I did was an effort
2.854 ITEM 11 11. My sleep was restless
2.84
2.965 ITEM 13 13.I talked less than usual
2.734
2.65
3.113 ITEM 16 16. I enjoyed life
3.024 ITEM 17 17.I had crying spells.
2.669
2.63
2.49
2.54777
8
2.35

18. TWO WEEKS EXPOSURE
1.773
2.168 ITEM 2
1.717
1.418
suffered from lack of concentration or restlessness?
2.013 ITEM 5
1.745
1.591
1.578
1.674
1.662
experienced difficulties keeping up with your usual educational abilities?
1.979 ITEM 11
difficult to look after yourself or take responsibility for your independence?
1.879 ITEM 12
1.485
been troubled by relationships in your family or substitute home?

19. THREE MONTHS EXPOSURE
2.012 ITEM 1
1.83
2.186
2.353
2.392
2.205
1.818
1.883
1.868
1.823
1.878
1.807
2.103
1.744
1.906
ITEM 3
ITEM4
ITEM5
ITEM6
ITEM 15
I was told more than once that I spend too much time online
I feel restless and irritable when the Internet is disconnected or unavailable
I feel energized online
I stay online for longer periods of time than intended
Going online has negatively affected my schoolwork or job Performance
1.936 ITEM 16
1.767
1.858
1.799
2.096 ITEM 20
1.899
1.887
1.711
1.756
1.877
I feel like I am missing something if I don’t go online for a certain period of time
1.915 ITEM 26
I feel tired during the day because of using the Internet late at night
My life would be joyless without the Internet

20. INFERENCES
Qualitative
Quantitative

21. INITIAL STAGE
- AFTER ONE WEEKS OF EXPOSURE
1. did not feel like eating; , appetite was poor
2.had crying spells
3. talked less than usual
4. felt that everything done was an effort
5. Sleep was restless
MIDDLE STAGE
AFTER TWO WEEKS OF EXPOSURE
6.Suffered from lack of concentration or restlessness
7.Experienced difficulties keeping up with usual educational activities
8. Difficult to look after oneself or take responsibility for one s
Independence
9. Been troubled by relationships in one s own family or substitute home
FINAL STAGE
AFTER THREE MONTHS OF EXPOSURE
10 Feel energized online
11 Feel restless and irritable when the Internet is disconnected or
unavailable
12 Stay online for longer periods of time than intended
13.Been spending longer and longer periods of time online
14. Life would be joyless without the interne
15. was told more than once that of spending too much time online
16. feel like I am missing something if not go online for a certain period
of time
17.feel tired during the day because of using the Internet late at night
18. Going online has negatively affected my schoolwork or job performance

22. INITIAL STAGE
INITIAL STAGE
--AFTER ONE WEEK OF
AFTER ONE WEEK OF
EXPOSURE
EXPOSURE
1. did not feel like eating; , ,appetite was poor
1. did not feel like eating; appetite was poor
2.had crying spells
2.had crying spells
3. talked less than usual
3. talked less than usual
4. felt that everything done was an effort
4. felt that everything done was an effort
5. Sleep was restless
5. Sleep was restless

23. MIDDLE STAGE
MIDDLE STAGE
AFTER TWO WEEKS OF
AFTER TWO WEEKS OF
EXPOSURE
EXPOSURE
6.Suffered from lack of concentration or restlessness
6.Suffered from lack of concentration or restlessness
7.Experienced difficulties keeping up with usual
7.Experienced difficulties keeping up with usual
educational
educational
abilities
abilities
8. Difficult to look after oneself or take responsibility
8. Difficult to look after oneself or take responsibility
for
for
one ssIndependence
one Independence
9. Been troubled by relationships in one ssown family or
9. Been troubled by relationships in one own family or
substitute home
substitute home

24. FINAL STAGE AFTER THREE MONTHS OF
FINAL STAGE AFTER THREE MONTHS OF
EXPOSURE
EXPOSURE
10 Feel energized online
10 Feel energized online
11 Feel restless and irritable when the Internet is disconnected
11 Feel restless and irritable when the Internet is disconnected
or
or
unavailable
unavailable
12 Stay online for longer periods of time than intended
12 Stay online for longer periods of time than intended
13.Been spending longer and longer periods of time online
13.Been spending longer and longer periods of time online
14. Life would be joyless without the interne
14. Life would be joyless without the interne
15. was told more than once that of spending too much time
15. was told more than once that of spending too much time
online
online
16. feel like IIam missing something if not go online for aa certain
16. feel like am missing something if not go online for certain
period of time
period of time
17.feel tired during the day because of using the Internet late at
17.feel tired during the day because of using the Internet late at
night
night
18. Going online has negatively affected my schoolwork or job
18. Going online has negatively affected my schoolwork or job
performance
performance

25. CHARACTERIZATION OF THE STAGES
Initial stage - affect is very much affected (i.e. crying
spells, loss of appetite, talking less than usual, restlessness in sleep,
talking less than usual – and also affecting the vegetative functions .
NOTE: there is no mention here yet whatsoever of the internet
Middle stage- executive function seems to be in distress
(i.e. lack of concentration or restless ness, difficulties in keeping up
with educational activities, difficulties in look after oneself or taking
responsibility for one s independence
Final stage- one s affective disposition and
executive/decision making are down ….there is dependence ONLY
on one thing …. Internet (i.e. feeling energized online, feeling life is
joyless without the internet, staying online for longer and longer
periods of time

26. ONE WEEK EXPOSURE
EXPOSURE
TWO WEEKS EXPOSURE
2.479
3.132
2.611
2.549
2.718
2.799
2.919
2.385
2.301
2.466
2.854
2.84
2.965
2.734
2.65
3.113
3.024
2.669
2.63
2.49
2.54777
8
2.35
1.773
2.168
1.717
1.418
2.013
1.745
1.591
1.578
1.674
1.662
1.979
1.879
1.485
THREE WEEKS
2.012
1.83
2.186
2.353
2.392
2.205
1.818
1.883
1.868
1.823
1.878
1.807
2.103
1.744
1.906
1.936
1.767
1.858
1.799
2.096
1.899
1.887
1.711
1.756
1.877
1.915

27. MEAN SCORE
INITIAL STAGE
2.692081
MIDDLE STAGE
1.744769
FINAL STAGE
1.934962

28. HYPOTHETICAL DIAGNOSTICS
AND
BEYOND

29. REAL VS PSEUDOADDICTION
(VERTICAL INTERPRETATION)

30. REAL VS PSEUDOADDICTION
(VERTICAL INTERPRETATION)

31. QUICK VS SLOW STABILIZERS
(HORIZONTAL INTERPRETATION)

32. CHARACTERIZATION OF THE STAGES
(as based from numerical data)
Initial stage - showed the most severe score as based
from the mean suggestive that initial exposure would produce the
greatest impact on the person
Middle stage - showed the lowest mean which can be
because of sensitization.
Final stage – showed mean which is in the middle of the
initial stage and middle stage suggestive that the condition had
stabilized ….
addiction had set in

33. and more …..

34. It is hypothesized that the greater the difference
between the scores between the initial stage and the
middle stage the more the REAL the addiction which
we tested numerically..

35. pseudoaddiction/
resiliency despite exposure

36. testing genuine addiction
numerically

37. ONE WEEK
TWO WEEKS
THREE MOS
1.82
1.704615385
0.12
1.835769231
2.778181818
1.683076923
0.65
2.037307692
2.553636364
1.610769231
0.83
2.095769231
2.917272727
1.727692308
0.94
1.823461538
2.709545455
2.05
1
1.953461538
2.836818182
1.835384615
2.841363636
1.585384615
1.15
1.899230769
2.720454545
1.872307692
1.15
1.99
2.820909091
1.676923077
1.19
1.975384615
2.859545455
1.701538462
1.26
1.805
1.09
1.934230769

38. the greater the difference between initial and middle
stages the greater the stabilization score or posibility of
REAL addictrion
MIDDLE STAGE MEAN
STABILIZATION SCORE
0.12
0.65
0.83
0.94
1
1.835769231
2.037307692
stabilized
2.095769231 1.78265 minimally
1.823461538
1.953461538
1.09
1.934230769
1.15
1.15
stabilized
1.899230769 1.902596 moderately
1.99
1.19
1.975384615
1.26
stabilized
1.805 1.923462 maximally

39. MIDDLE STAGE MEAN
STABILIZATION SCORE
0.12
1.835769231
0.65
2.037307692
0.83
2.095769231
0.94
1.823461538
1
1.953461538
1.09
stabilized
1.78265 minimally
1.934230769
1.15
1.899230769
1.15
1.99
1.19
stabilized
1.902596 moderately
1.975384615
1.26
1.805
stabilized
1.923462 maximally

40. CONCLUSION

41. THAT INTERNET ADDICTION IS NOT AN ILLUSION
THAT INDICATORS ARE POINTING THAT IT IS A
DISORDER WHICH HAS TO BE ADDRESSED AS IT
CAN BE DEBILITATING ON THE PERSON
IT AFFECTS BOTH THE AFFECTIVE AND
EXECUTIVE FUNCTIONS OF THE PERSON
WE STILL HAVE TO PROVE THAT THE BEHAVIOR
HAS STRONG LINKAGE WITH THE EXISTENCE OF
DELTA FOS B .., THE MOLECULAR SWITCH IN
BEHAVIORAL ADDICTION (AS PURPORTED BY
ERIC NESTLER) IN HUMANS BUT WE ARE
GOING THERE… PROBABLY ON OUR NEXT
CONFERENCE

42. my final note
It would be interesting to collate
data from other Asian countries
which used the same questionaire to
see if it will bring out the same or
differing results. Section 3 of DSM5
listed internet gaming disorder as
supported by the evidences coming
from studies in the Asian region

43. THANK YOU VERY MUCH
FOR LISTENING